ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH NGN-100% Top score-2023-2024

ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH
NGN-100% Top score-2023-2024
1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the
following findings should the nurse report to the surgeon?

1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return
   to normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
   Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
5. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should
   the nurse plan to administer?
   a. Desmopressin
   b. Regular insulin
   c. Furosemide
   d. Lithium carbonate
   Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and keeps
   pt. on urinating
6. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for
   3 years. Which of the following test should the nurse monitor?
   a. Fasting blood glucose
   b. Stool for occult blood
   c. Urine for white blood cells
   d. Serum calcium
   Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
7. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse
   take first (Click on the “Exhibit” button for additional information about the client. There are three tabs
   that contain separate categories of data.)
   a. Obtain a sputum sample for culture
   b. Prepare the client for a chest x-ray
   c. Initiate airborne precautions
   d. Administer ondansertron.
   Rationale: No idea what the Exhibit is all about; wont be able to answer it.
8. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough
   pain. Which of the following prescriptions should the nurse anticipate?
   a. Transmucosal fentanyl
   b. Intramuscular meperidine
   c. Oral acetaminophen
   d. Intravenous dexamethasone
   Rationale:ATI pg. 27
9. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of
   the following should the nurse analyze to determine whether the client is experiencing a myocardial
   infarction?
   a. PR interval
   b. QRS duration
   c. T wave
   d. ST segment
   Rationale: ST elevation indicates MI. ST depression indicates ischemia
10. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which
    of the following instructions should the nurse include?

a. Pat the skin on the radiation site to dry it

ATI RN MEDSURG 2020/2021 PROCTORED EXAM- LATEST 100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES.1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon?1. Heart rate 90/min2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal.3. Hgb 8.2 g/dl4. Gastric pH of 3.0Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?a. Desmopressinb. Regular insulinc. Furosemided. Lithium carbonateRationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH and keeps pt. on urinating3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following test should the nurse monitor?a. Fasting blood glucoseb. Stool for occult bloodc. Urine for white blood cellsd. Serum calciumRationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).4. A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)a. Obtain a sputum sample for cultureb. Prepare the client for a chest x-rayc. Initiate airborne precautionsd. Administer ondansertron.Rationale: No idea what the Exhibit is all about; wont be able to answer it.5. A nurse is contacting the provider for a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate?a. Transmucosal fentanylb. Intramuscular meperidinec. Oral acetaminophend. Intravenous dexamethasoneRationale:ATI pg. 276. A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which ofthe following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?a. PR intervalb. QRS durationc. T waved. ST segmentRationale: ST elevation indicates MI. ST depression indicates ischemia7. A nurse is teaching a client who has ovarian cancer about skin care following radiation treatment. Which of the following instructions should the nurse include?a. Pat the skin on the radiation site to dry it
b. Apply OTC moisturizer to the radiation sitec. Cover the radiation site loosely with a gauze wrap before dressingd. Use a soft washcloth to clean the area around the radiation site Rationale: pg. 584. Dry the area thoroughly using patting motions.8. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?a. Diphenhydramineb. Acetaminophenc. Pantoprazoled. FurosemideRationale: S/S may indicate fluid retention or heart failure. It is important to administer diuretics to prevent cardiovascular/respiratory distress.9. A nurse is assessing a client who is receiving magnesium sulfate IV for the treatment of hypomagnesemia. Which of the following findings indicates effectiveness of the medication?a. Lungs clearb. Apical pulse 82/minc. Hyperactive bowel soundsd. Blood pressure 90/50 mm HgRationale: ATI p. 494: s/s of hypomagnesemia consist of hypoactive bowel sounds, constipation, paralytic ileus. So effectiveness would indicate opposite of this10. A nurse is reviewing a client’s ABG results pH 7.42, PaC02 30 mm Hg, and HCO3 21 mEq/L. The nurse should recognize these findings as indication of which of the following conditions?a. Metabolic acidosisb. Metabolic alkalosisc. Compensated respiratory alkalosisd. Uncompensated respiratory acidosisRationale: because the HCO3 21 trying to compensate for respiratory alkalosis11. A nurse is caring for a client who has a deep partial thickness burns over 15% of her body which of the following labs should the nurse expect during the first 24 hoursA. Decreased BUN ELEVATED DT fluid lossB. Hypoglycemia (High due to stress)C. Hypoalbuminemia (Low due to fluid loss)D. Decreased Hematocrit (Elevated due to 3rd spacing during resuscitation phase)(Page 481 ch 75 med surge ati pdf 10.0)12. A nurse is caring for a client who has dumping syndrome following a gastrectomy, which of the followingactions should the nurse take ?a. Offer the client high carbohydrate meal options (High fat, high protein, low fiber, low to moderate carbs page 317, chapter 49 Peptic ulcer disease med surge ati pdf 10.0)b. Provide the client with four full meals a day (Small frequent meals)c. Encourage the client to to drink at least 360 ml of fluids with meals (Eliminate liquids with meals for 1 hr prior and following a meal)d. Have the client lie down for 30 minutes after meals (Lying down after a meal slows the movement of food within the intestines)13. A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the followingfactors should the nurse include in the teaching? SATA. (p.70 chapter 13)Born with a high weightChronic infections of the middle earUse a loop diureticPerforation of the ear drum
Frequent exposure to low volume noise14. A nurse is preparing to administer fresh frozen plasma to a client . Which of the following actions should thenurse take? (Chapter 92 page 606 med surge ati pdf 10.0)Administer the plasma immediately after thawing (Blood must be warm, you also have a 30 minute windowto give it so bacteria doesn’t grow. So it doesn’t necessarily have to be right away.)Transfuse the plasma over 4 hour (Can be in 2 to 4 hours)Hold the transfusion if the client is actively bleeding (YOU HAVE TO GIVE IT. That’s the whole point!The patient is losing blood so you have to replace it. We give fresh frozen plasma because he or shemay have clotting deficiencies)Administer the transfusion through a 24 gauge saline lock (Has to be a 18 or 20 gauge)15. A nurse is assessing a clients who reports numbness and tingling of his toes and exhibits a positive TROUSSEAU. Which of the following electrolyte imbalance should the nurse suspect? (ch 44 page 277 MS ATI PDF 10.0)Hypoatremia Hyperchloremia HypermagnesemiaHypocalcemia (low calcium = low ca causes increased firing = spasms. Learned this is LVN school.)16. A home health nurse is teaching a clients how to care for a peripherally central catheter in his right arm. Which of the following statements should the nurse include in the teaching?(Chapter 27 cardiovascular diagnostics and therapeutic procedures p. 165 MS ATI PDF 10.0)Change the transparent dressing over the insertion site every 48 hours – transparent dressing can be up to 7 days Clean the insertion site with mild soap and water – when showering, must insertion site must be covered !!!!!No water can be in it .Measure your right arm circumference once weekly- does not say in the chapterUse a 10 milliliter syringe when flushing the catheter – flush with 10 ml NS b4 and after med administration17. A nurse is caring for a client who has a central venous access device. Which of the following assessmentfindings should the nurse report to the provider?(P.166 MS ATI PDF 10.0)RBC count of 4.7 million/mm 3BUN 22 mg/ dl – not dramatically high enough to pay attention to.WBC count of 16,000/ mm 3 – phlebitis is a complication , infection is a complication that can happen 7 days after insertion , also temp increase if 1 degree can happen.Blood glucose of 120 mg/dl18. A nurse is providing dietary teaching to a client who has chronic kidney disease and a decreased glomerularfiltration rate. Which of the following statements by the client indicates an understanding of the teaching? (p.382 chapter 59)I will spread my protein allowances over the entire day – the doctor issue the patient an allowed amount of protein so its ok.I should increase my intake of canned salmon to three times per week (NO SODIUM)I will season my food with lemon pepper rather than salt (We do not want to give the dietary sodium, potassium, phosphorus , and magnesium. I don’t know what lemon pepper has, but we want to RESTRICT sodium, potassium, phosphorus and magnesium.)I should limit my intake of hard cheese to 3 ounces each day (NO SODIUM at all)19. A nurse is caring for a client who has a peripherally inserted central catheter. The client is receiving an antibioticvia intermittent IV bolus. Which of the following actions should the nurse take? (PAGE 166 ch 27 MS ATI PDF 10.0)
Administer 20 ml of 0.9 sodium chloride after each dose of medication (you only flush with 10 ml of NS, not20. 20 is for flushing blood)Flush the catheter using a 5 ml syringe – you use a 10mL syringe to flushVerify the placement with an x ray prior to the initial doseChange the transparent membranes dressing daily (dressing can last for up to 7 days)20. A nurse is teaching a client using a metered dose rescue inhaler. Which of the following statements should thenurse include in the teaching?Do not shake your inhaler before use (suppose to shake it)Exhale fully before bringing the inhaler to your lipsDepress the canister after you inhale (depress the canister before inhaling, and 5 seconds later you inhale) Use peroxide to clean the mouthpiece if your inhaler (warm water)Textbook pg 573.21. A nurse is assessing the pain status of a group of clients. Which of the following findings indicate a client isexperiencing referred pain? (page 30)A client who has angina reports substernal chest painA client who has pancreatitis reports pain in the left shoulder – referred pain is pain that is felt in ANOTHER PLACE THAT IS NOT IN THE SAME AREA AS WHERE THE PAIN SHOULD BE FELT. THE PAIN IS FELT SOMEWHERE ELSEA client who is postoperative reports incisional painA client who has peritonitis reports generalized abdominal pain22. A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Whichof the following assessments findings requires immediate intervention by the nurse? (p .456 MS ATI PDF10.0 chapter 71)The client reports a pain level of 7 on a scale from 0 -10 at the operative site. (This foo just came fromsurgery so pain is normal for post op patients for first couple of hours.)The clients capillary refill in the left toe is 6 seconds sxs of compartment syndrome. ABCs are compromised. (Cap refill should be below 3 seconds. This is sxs for compartment syndrome. Untreated can lead to necrosis.)The client has an oral temperature of 38.3 (100.9 F) (I wouldn’t pick this because i always see temp 101 asa priority from previous rationales with other atis.)The client has 100 ml of blood in the closed suction drained. (I believe this is normal for post-op patients.)23. A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for thepast 72 hours. Which of the following findings requires the nurse to intervene? (chapter 47 page 299 MS ATI PDF 10.0 )Right upper quadrant pain (Dude has acute pancreatitis, so it’s normal) Capillary blood glucose level of 164 mg/dl – glucose not significantly highWBC count 13,000/mm3 (Infection is one complication of TPN administration but WBC is in normalrange.)Crackle in bilateral lower lobes (ABC’s compromised, also one of the complications of TPN is fluidimbalance aka fluid volume excess.)24.. A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client? (THIS IS CARDIOGENIC SHOCK!!!!!! P 195.Chapter 31 MS ATI PDF 10.0)Reverse Trendelenburg (page 232 says for hypotension patients must be flat with legs elevated to increase venous return.)Side Lying High FowlersFeet elevated25.A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make?
a.) “This finding may indicate possible medication toxicity”b.) “Your provider will prescribe a different medication regimen”c.) “This is an expected adverse effect of this medication” PAGE 137 ati MS pdf 10.0d.) “You will need to increase your fluid intake to resolve this problem”26.A nurse is preparing to administer a unit of packed RBCs for a client who is receiving a continuous IV infusion of 5% dextrose in water. Which of the following actions should the nurse take?a.) Administer the unit through secondary IV tubingb.) Verify the blood product with an assistive personnelc.) Begin an IV infusion of 0.9% sodium chlorided.) Insert another 22-gauge IV catheterATI page 249.27.A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?a.) Check the client’s blood pressure every 8 hrb.) Administer opioids POc.) Assess urine output hourlyd.) Monitor for hypokalemia as a manifestation of acute rejectionATI page 37428.A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding?a.) Yellow sclera (Normal)b.) Mental confusion can lead to portal systemic encephalopathy (page 358 MS ATI PDF 10.0 ::::::::::::::which is something to report to provider meaning neuro is worsening)c.) Palmar erythema (Normal)d.) Spider angiomas (Normal)29.A nurse is obtaining a medication history from a client who is to start therapy with naproxen for rheumatoid arthritis. Which of the following medications places the client at risk for bleeding?a.) Captopril b.) Ibuprofenc.) Digoxin d.) Phenytoin30.A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?a.) Administer 0.9% sodium chlorideb.) Check potassium levelsc.) Initiate a continuous IV insulin infusiond.) Begin bicarbonate continuous IV infusion31.A nurse is assessing the extremities of a client who has Raynaud’s disease. Which of the following findingsshould the nurse expect?a.) Blanching of the hands (P 558 ati MD pdf 10.0)b.) Hyperactive reflexesc.) Calf pain with foot dorsiflexiond.) Vitiligo on affected extremities32.A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?a. A client who has a peripherally inserted central catheter in the left armb. A client who has left-sided Bell’s palsyc. A client who has a right upper extremity arteriovenous fistulad. A client who has right-sided weakness due to Parkinson’s disease
33) A nurse is providing teaching to a client who has DVT. Which of the following findings should the nurse identify as a risk factor for the development of DVTs?a. Hypertensionb. Cirrhosisc. NSAIDS used. Oral Contraceptive Use (Rationale: page 141 of ATI Book 2016)34.A nurse is caring for client who has Cushing’s disease. Which of the following actions should the nurse takefirst? (Click Exhibit button for additional information)a. Check the client’s medication administration record for antihypertensive medication.b. Verify the client’s understanding of sodium restriction.c. Auscultate the client’s lung soundd. Determine the need for further glucose monitoring.Rationale: Unable to answer. Can’t see the exhibit. But on the chapter of Cushing disease they talk about monitoring of glucose. The rest are not stated in the chapter.35.A nurse is assessing a client who has nephrotic syndrome. Which of the findings should the nurse expect?A.ProteinuriaB.Flank painC.HyperalbuminemiaD.HypotensionRationale: Lewis book page 1075. Clinical manifestation of N.S.: peripheral edema, massive proteinuria, HTN, hyperlipidemia, and hypoalbuminemia.36.A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findingsshould the nurse expect to find?a. Oliguria (Left)b. S3/S4 galloping heart sounds (Left)c. Poor skin turgord. Pitting edemaRationale: Page 198 Chapter 32 of ATI Book.37.A nurse is caring for a client who has newly inserted chest tube. The nurse should clarify which of the following prescriptions with the provider?A.Notify the provider when tidaling ceases. (Yes notify)B.Assisting the client out of bed three times daily.C.Vigorously strip the chest tube twice daily. (VIGOROUSLY and TWICE A DAY)D.Administer morphine 2 mg IV bolus every 3 hr PRN for pain. (Don’t need to clarify)Rationale: Page 104 chapter 18 of ATI Book it says that: “Do not strip or milk tubing; only perform when prescribed. Stripping creates a high negative pressure and can damage lung tissue.”38.A nurse is teaching a client who is taking an ACE inhibitor for heart failure. Which of the following instructionsshould the nurse include for home management of heart failure?A,Obtain daily weight.B.Use of salt substitute. (Avoid it)C.Monitor I and O.D.Limit daily activity. Rationale: Pg 199 ATI Book.39.A nurse is providing discharge teaching to a client who has a permanent pacemaker. Which of the followingstatements by the client indicates an understand of the teaching?A.I need to maintain pressure over the pacemaker site with an elastic bandage.B.I need to check my pulse rate every day for a full minute.C.The pacemaker will deliver shock if I develop a dysrhythmia
Recommended for you

Document continues below
53
NCLEX Prep Material Separated by Subjects
NCLEX Prep Material Separated by Subjects
Nursing Fundamentals
100% (4)
58
ATI Medsurg Proctored Final EXAM 2021 Graded
ATI Medsurg Proctored Final EXAM 2021 Graded
Medical Surgical Nursing 1
100% (7)
26
Phtls Pre Post Test Questions ANswers
Phtls Pre Post Test Questions ANswers
Medical Surgical Nursing 1
100% (5)
23
TNCC final exam test 2022 open book Graded A
TNCC final exam test 2022 open book Graded A
Medical Surgical Nursing 1
100% (4)
D.When a microwave oven is in use, I need to stay out of the room. Rationale: Chapter 29 pg 177 of ATI book.40.A nurse in a clinic is providing preventive teaching to an older adult client during well visit. The nurse should instruct the client that which of the following immunization are recommended for healthy adults after age 60? SATA.A.Herpes ZosterB.InfluenzaC.HPVD.MeningococcalE.Pneumococcal Polysaccharide41.A nurse is assessing a client who is 4hr postoperative following arterial revascularization of the left femoralartery. Which of the following findings should the nurse report immediately?A.Bruising around the incision siteB.Pallor in the affected extremityC.Urine output 150mL over 4hrD.Temperature of 37.9 (100.2) Rationale: Chapter 35 pg 217.42.A nurse is caring for an older adult client who has not been eating. Which of the following findings indicatesdehydration?A.Crackles auscultated bilaterally (S/sx suggestive of fluid overload)B.Capillary refill of 2 seconds (Brisk; normal)C..Dimiminished peripheral pulsesD.Engorged neck veins (Also fluid overload)43.A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?A.Increase intake of fiber rich foodsB.May operate a motor vehicle when no longer taking analgesicsC.Take tub baths instead of showersD.May place a small pillow under the head when sleeping44.A nurse is assessing for elderly signs of compartment syndrome for a client who has a short leg fiberglass cast.Which of the following findings should the nurse expect?A.Bounding distal pulsesB.Capillary refill less than 2 seconds (Pretty much the only thing that makes sense)C.Erythema of the toesD.Intense pain with movement45.A nurse is caring for a client who is postoperative following coronary artery bypass surgery and reports shortnessof breath. The nurse administers oxygen at 3L/min and obtains arterial blood gases 60 min later. Which of the following lab findings indicates a positive response to the oxygen therapy?A.PaCO2 34 mmHgB.Bicarbonate 20 mEq/LC.PaO2 90 mmHg (Normal range: 80-100 mmHg)D.Ph 7.3246.A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the followingfindings should the nurse expect if the client has impaired function of the vestibulocochlear (VIII)?A.Loss of the peripheral vision (CN II, is in charge of this)B.Disequilibrium with movement (Vertigo (room spinning) – This is what happened to me when my eardrum ruptured. I now have a tube in my right ear. *TRUE STORY. CN VIII is acoustic.)C.Deviation of the tongue from midline (CN XII)D.Inability to smell (CN I)
47.A nurse is caring for a client admitted with a skull fracture. Which of the following assessment findings shouldbe of greatest concern to the nurse?A.Glasgow coma scale score changes from 14 to 9B.Bilateral pupil diameter changes from 4 to 2 mmC.Pulse pressure changes from 30 to 20 mm HgD.WBC count changes from 9000 to 16,000 mm348.A nurse is caring for a client who is taking furosemide. The client has a potassium level of 3.1 mEq/L. Which ofthe following should the nurse assess first?A.Urine outputB.Level of orientationC.Cardiovascular status (Potassium imbalances causes DYSRHYTHMIAS which is the number one reason why potassium levels are crucial to monitor.)D.Muscle weakness- this is an early sign of K imbalance but i would go with C since ABC’s are always first.49.A nurse is caring for a client who is scheduled for an abdominal paracentesis. The nurse should plan to takewhich of the following actions? P . 299 ati ms pdf 10.0e. Instruct the client to take deep breaths and hold them during the proceduref. Administer a stool softener following the procedureg. Ask the client to empty his bladder prior to the procedureh. Assist the client into the left lateral position during the procedure- they must be upright with feet supported.50.A nurse is caring for a client who is 6 hours postoperatively following a thyroidectomy. The client reports tingling and numbness in the hands. The nurse should identify this as a sign of which of following electrolytes imbalances?A.Hypernatremia B.HypomagnesemiaC.Hypokalemia D.Hypocalcemia (Parathyroid gland which is the gland that secretes calcitonin is right behind the thyroid . When you have a thyroidectomy, you decrease the production of calcitonin which decreases production of calcium.)51.A nurse is assessing a client 15 min after the start of a transfusion of 1 unit of packed RBC’s. Which of the following findings is an indication of a hemolytic transfusion reaction? Page 250 MS ATI PDF 10.0 under acute hemolytic complicationsA.Hypotension B.Bradypnea-tachypnea ( RR > 20) it will produceC.Bradycardia- tachycardia it will produce D.Hypothermia- FEVER is a complication of a hemolytic reaction52.A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first? A.Prepare the client for temporary pacing.-> too invasive B.Initiate IV fluid therapy for the client -> to solve hypotension C.Measure the client’s blood pressure -> related to hypotension D.Administer atropine to the client (Pg 638 Atropine Sulfate treats Bradycardia) 53.A nurse is caring for a client who has a prescription to discontinue a peripherally inserted central catheter. Which of the following actions should the nurse take? A.Apply slight pressure when resistance is met B.Measure the catheter after removal C.Remove the catheter with one continuous motion
D.Place a dry sterile dressing to the site after removal54.A nurse is caring for a client who has a flail chest. Which of the following actions should the nurse take?A.Provide humidified oxygen Pg150 B.Implement fluid restriction nope C.Administer antibiotic medication D.Administer acetaminophen orally nope55.A nurse is teaching a group of newly licensed nurses about acute respiratory failure. Which of the followingmanifestations should the nurse include in the teaching? Page 153 MS ATI PDF 10.0 A.Hypoxemia B.Hyperventilation (Can’t be this because you are forsure going to have HYPERCARBIA and >20 RR will excrete CO2.) C.Hypocarbia- hypercarbia D.Hypervolemia (You’re going to have hypotension during ARF. If you have too much fluid in your bodythen you would have high blood pressure.)56.A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nursetake first?A.Obtain the client’s vital signsB.Clear items from the client’s surrounding areaC.Loosen the client’s restrictive clothingD.Lower the client to the floor 57.A nurse is teaching a client who is receiving total parenteral nutrition at home through a central venous access device about transparent dressing changes. Which of the following instructions should the nurse include in the teaching?A.Change the dressing every 48 hr no B.Replace the extension tubing with each dressing change no 72 hoursC.Use clean technique when changing the dressing no Surgical asepticD.Wear a mask during dressing change Surgical asepsis required58.A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect? During a major burn the initial phase will activate the Sympathetic nervous system. MS ATI PDF 10.0 page 482i. Decreased respiratory rate- its is increasedj. Hypotensionk. Bradycardia- tachycardia is what you will findl. Urinary diuresis -decreased urine output is what you will find36. A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the followingis a priority finding? P 356 MS ATI PDF 10.0a. Spider angiomasb. Palmar erythemac. Mental confusiond. Yellow Sclera37. A nurse is providing instructions about foot care for a client who has a peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching?a. “I apply a lubricating lotion to the cracked areas on the soles of my feet every morning”nob. “I use my heating pad on a low setting to keep my feet warm.”noc. “I soak my feet in hot water before trimming my toenails”
d. I rest in my recliner with my feet elevated for about an hour every afternoon” 21738. A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis. Which of the following instructions should the nurse include in the teaching? Page 447 MS ati PDF 10.0a. Swallow the medication with 120mL (4 oz) of water (Must be 8 oz of water)b. Take the medication with a vitamin E supplement (Pretty sure you need vitamin D instead since this drug is for helping with osteoporosis)c. Sit upright for 30 min after taking the medication (No lying down)d. Take the medication with lunch (Must be taken early morning before eating)39. A nurse is teaching a client about using a metered dose rescue inhaler. Which of the following statements shouldthe nurse include in the teaching?a. Depress the canister after you inhaleb. Exhale fully before bringing the inhaler to your lipsc. Do not shake your inhaler before used. Use peroxide to clean the mouth of your inhaler40. A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure? Page 381 MS ATI PDF 10.0a. Initiate beta blocker therapy- it says use CCB to prevent movement of calicum into kidney cells and maitain cell integrity.b. Insert a urinary catheterc. Prepare the client for intravenous pyelogramd. Administer IV fluids to the client- to promote kidney perfusion if patient is in the dieretic phase41. A nurse is completing an assessment of an older adult client and notes redness areas over the bony prominences, but the client’s skin is intact. Which of the following interventions should the nurse include in the plan of care?a. Apply an occlusive dressingb. Manage the redness areas three times dailyc. Support bony prominences with pillowsd. Turn and reposition the client every 4 hr.42. A nurse is caring for a client who has completed 10 daily cycles of Total parenteral Nutrition (TPN). Which ofthe following findings indicates that the client is receiving adequate TPN supplementation. Page 298 MS AT PDF.a. Improved Mobility (Doesn’t correlate to TPNs)b. Weight gain of 9.1 kilograms to 20 pounds (TPNs are intended for patients who are malnourished so gaining 2 pounds in 2 days is good.)c. Potassium level of 2.5 meq/l (Potassium should be in normal range since tpn is intended for malnourished patients and contains electrolytes and vitamins that the patient needs.)d. BUN level of 15 mg/dL68. A nurse is providing teaching to a client who is post-operative following a partial glossectomy. Which of thefollowing statements by the client indicates an understanding of the teaching? P 601 MS ATI PDF 10.0a. I will consume can soup whenever sores appear in my mouthb. I will drink orange juice to increase my vitamin C intake- NO ACIDIC stuff in the mouthc. I will rinse my toothbrush with hydrogen peroxide and water after each use- ONLY RINSE WITH NS SOLUTIONd. I will inspect my mouth once each week for sores.69. A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take?a. tilt the client’s head 45 degreesb. Insert the tip of the syringe to .5 centimeters 1 inch into the ear canalc. Point the tip of the syringe toward the top of the ear canald. Use cool fluid for irrigation

70. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethralresection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the followingactions should the nurse take first? Page 426 MS ATI PDF 10.0a. Check the client’s urine outputb. Reposition the client in bedc. Increase the client’s fluid intaked. administer PRN pain medication71. A nurse is providing teaching for a client who has diabetes mellitus about the self administration of insulin. Theclient has prescriptions for regular and NPH insulin. Which of the following statements by the client indicatesan understanding of the teaching? a. I will draw up regular insulin into the syringe first- yup! Clear to cloudyb. I will insert the needle at a 15 degree angle – 45 degreec.I will store prefilled syringes in the refrigerator with the needle pointing downwardd.I will shake the NPH vial vigorously before drawing up the insulin= you can only roll it to mix it72. A nurse is caring for a client who is receiving Total parenteral Nutrition (TPN). which of the followingnursing actions are appropriate? (Select all the apply)a.Obtain the client’s weight dailyb.Increase the rate of infusion if Administration is delayed – never ever do this because doing this will alter blood glucose significantly . it says so in the bright yellow box on mage 298. Also HYPERGLYCEMIA can happen if you do.c.Monitor serum blood glucose during infusion – book says check glucose level every 4 -6 hours for at least 24hoursd.In to use 0.9% sodium chloride if the solution is not available – it says have D5 10 % since that is needed in case to prevent hypoglycemia.e.Verify the solution with another RN prior to infusion73. A nurse is caring for a client in diabetic ketoacidosis dka. Which of the following is thepriority intervention by the nurse? PAGE 538 ati pdf 10.0a. Check potassium levelsb. Administer 0.9% sodium chloride – always treat underlying cause which is done by giving rapid isotonic fluid replacement so you can MAINTAIN PERFUSION TO VITAL ORGANS.c. Begin bicarbonate continuous IV infusiond. Initiate continuous IV insulin infusion74. A nurse is reviewing the laboratory results of a female client who asked about acupuncture treatment for chemotherapy-induced nausea and vomiting. Which of the following laboratory results indication to receiving acupuncture?A.Absolute neutrophil count 500/mm3B. C-reactive protein 0.7 mg/dlC. platelets 160000/mm3D.Hemoglobin 12 /dl75. A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a PainScale of 0 to 10. which of the following should the nurse take? Page 436 MS ATI PDF 10.0A.Gently massage the area around the clients incision BPlace pillows under the client’s kneeC.Apply and ice path to the client’s knee- prevent swellingD.Perform range of motion exercises to the client’s knee- DO NOT, we want to prevent flexion contractures.
71. A nurse is Assessing a client who has heart failure and is receiving a loop diuretic. Which of the following findings indicates hypokalemia? Page 274 ati MS pdf 10.0A.Hypertension- low K if make low blood pressure, weak thready pulse, and orthostatic hypp.b. Positive chvostek’s sign – signs of low calciumc.Muscle weaknessd.Oliguria79.A nurse at a long-term care facility is assessing an older adult client. Which of the following findings should the nurse identify as an indication that the client has recall memory impairment?a.Inability to state what he has for dinner last nightb. Inability to Name the members of his family c.Inability to count backwards from 10d.Inability to state his current age80. A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure following ahead injury. Which of the following IV medications should the nurse plan to administer?a.Chlorpromazine b bDobutaminec.Mannitol (PER TIAMSON!)d.Propanol81. A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurseattend to First?a.A client who has thrombocytopenia and reports and nosebleedb.A client who has chronic obstruction pulmonary disease and oxygen saturation of 89%c. A client who has multiple sclerosis and Ataxia and vertigod.A client who has left-sided paralysis and slurred speech from a prior stroke82. A home care nurse is planning to use non pharmacological pain relief measures for an older client who hassevere chronic back pain. Which of the following guidelines should the nurse use?a.Use imagery with clients who have difficulty with focus and concentrationb.Pain relief from the use of heat and cold continues for several hours after removal of the stimulus c.Discontinue opioids before trying non pharmacological methods of pain reliefd.Distraction changes the client’s perception of pain but does not affect the cause83. A nurse is caring for a client who has pneumothorax and a chest tube with closed water seal drainage system.Which of the following actions should the nurse take?a.Strip or clear the chest tube every 8 hoursb. Refill the water chamber if the fluid is lowc. Empty the system at least every 8 hrd.Change the chest to site dressing every 24 hour84. A nurse is in an emergency department is reviewing a client’s ECG reading. which of the following findings should the nurse identify as an indication that the client has first degree heart block?Prolonged PR intervals (Per Tiamson)More p waves than QRS complexes Non discernible p wavesNo correlation between p and QRS waves
72. A nurse is preparing to administer a unit of packed rbc’s to a client who is anemic. Identify the sequence of stepsthe nurse should follow.1. Obtain venous access using a 19 gauge needle2. Obtain the unit of packed rbc’s from Blood Bank align3. verify blood compatibility with another nurse4. Initiate transfusion of the unit of packed rbc’s5. Remain with the client for the first 15 to 30 minutes of the infusionRationale: see ATI Med-Surg p. 249 nursing actions BCADE86. A nurse is teaching A client who is to begin chemotherapy about peripherally inserted Central catheter. which of the following statements should the nurse include in the teaching?We will replace the PICC every monthWe can draw blood samples from the PICC for diagnostic testWe will change the dressing dailyWe can measure your blood pressure in either armRationale: ATI Med-Surg p. 166 PICC lines can be used up to 12 months, http://www.atitesting.com/ati_next_gen/skillsmodules/content/cvad/equipment/site-care.html change gauze dressings every 48 hours and transparent dressings 3 to 7 days or whenever they are no longer intact. Measure BP in opposite arm87. A nurse is assessing a client who has Pyelonephritis and reports flank pain. which of the following actions shouldthe nurse take?Assist the client to a sitting positionPercuss the side of tenderness firstAuscultate for a bruit over the coastal vertebral area Thump the area of tenderness directly with a closed fist88. A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?Peripheral pulses 2 + bilaterallyWeight gain 1.1 kilogram to 2.4 pound in 24-hourUrine specific gravity 1.045Creatinine 0.8 milliliterRationale: weight gain can indicate fluid retention. normal urine specific gravity: 1.000-1.030, normal creatinine: 0.5-1.289.A nurse is caring for an older adult client who is 72 hour postoperative following a total hip arthroplasty. the client requires a PRN medication prior to ambulation. Which of the following medications should the nurse anticipate administering? Page 437 MS ATI PDFIndomethacinMeperidine Naproxen Oxycodone90.A nurse is caring for a client who has Haemophilus Influenzae type B. which of the following types of isolation should the nurse implement? Page 32 MS ATI PDF 10.0Droplet Contact Airborne Protective91.A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious? PAGE 136 MS ATI PDFMantoux skin test reveals and induration of less than 1mm -only indicates an immune reponse but does not confirm if activer disease is presentClient no longer coughing up blood tinged sputum
    Positive quantiferon TB gold testNegative speedom culture for acid fast bacillus92.A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client’s Airway which of the following interventions should the nurse take first?Cleanse the client wound Administer Analgesic medication Increase the room temperature Start an IV with a large bore needle93.A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first?Obtain ABG valuesPerform an ECGTurn the client to his left sideClamp the catheter94.A nurse is providing discharge teaching to a client who has impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?Wash your perineal area 2 times each day with antimicrobial soapChange the water in your drinking glass every 4 hours p.581 avoid fluids sitting at room temp for longer than 1hrWash your toothbrush in the dishwasher once each month p.581 wash toothbrush daily in dishwasherChange your pet litter box daily p.581 avoid changing pet’s litter box

Ati med surg proctored exam 2019 retake with ngn questions
Ati med surg proctored exam 2019 retake with ngn answers
ati med surg proctored exam 2019 retake quizlet
ati med surg proctored exam 2019 retake 1
ati med surg proctored exam 2019 with ngn quizlet
ati med surg proctored exam 2019 retake 2
ati rn medical surgical proctored exam 2019 retake questions and answers a+ graded
ati med surg 2019 with ngn